General Application

Henderson Health Care Services is currently looking for professional healthcare employees. If you do not see a current job opening in our present online listings, we still encourage you to apply using the online application. If your qualifications meet any of our current needs, we will contact you. EOE

Henderson Health Care Job Application

Please fill out the form below to apply for this job online. Most fields are required.
The form does not save until it has been completed, so please do not stop in the middle.

Step 1 of 5 - Personal Information

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Personal Information

Name*

FirstMiddleLast

Social Security Number (secure)*

Current Address*

Street AddressAddress Line 2CityStateZIP Code

Previous Address*

Street AddressAddress Line 2CityStateZIP Code

Home Phone*

Mobile Phone

Email (Optional)

Are You At Least 18 Years Old?*

Current Open Position(s) for Which You Are Applying?*

Date Available For Work*

Type of Position*

Full Time

Part Time

PRN

Shift(s) You Can Work (Check all that apply)*

Day

Evening

Weekend

Night

Rotation

Salary Requirement*

Specify hourly or salary

How did you learn about this position?*

Newspaper Ad

Newspaper Website

Other Recruitment Website

Facebook/Social Media

Current Employee

Job Fair/Trade Show

School/College job site

State Employment Commission

Name of employee who referred you

Have you ever applied for a position at this facility?*

Date(s) you applied

Have you ever worked in this facility?*

Date(s) you worked at this facility

Are you legally eligible for employment in the United States?*

(Proof of U.S. citizenship or immigration status will be required upon employment)

Are you able to perform the essential, job related functions of the position for which you are applying with or without accomodations?*

Describe any accommodations necessary.

Have you been convicted of a crime and/or released from confinement following a conviction for any criminal offense? Arrests or charges that have been expunged need not be disclosed. Disclose ALL misdemeanors and felonies. You may exclude minor traffic violations.*

If yes, please describe in full.

Are you presently charged with any violation of the law?*

If yes, please describe in full.

Have you ever been sanctioned or been identified as an excluded provider for a federal or state health care program or have any such actions under investigation at this time?*

If yes, please describe in full.

Educational History

Please provide a history of all relevant education you have received.

High School/GED

Name of School - City, State*

Check Last Year Completed in School*

Graduated/GED?*

Degree or Certificate*

College

Enter "None" if not attended.

Name of School - City, State*

How Many Years Attended?*

Graduated?*

Degree or Certificate*

College

Name of School - City, State

How Many Years Attended?

Graduated?

Degree or Certificate

Graduate School

Name of School - City, State

How Many Years Attended?

Graduated?

Degree or Certificate

Other

Name of School - City, State

How Many Years Attended?

Graduated?

Degree or Certificate

List any professional licenses, registration or certification you possess (include Driver's License, if applicable)
Include Type, State Issued, Expiration Date and Number
Indicate if any licenses have been revoked, suspended or placed on probation.
Also indicate if you are ineligible to become licensed or certified in your field.

Please explain

Clerical or other skills applicable to the position for which you are applying

APPLICANT’S AGREEMENT

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at HHCS will be based on merit, qualifications, and abilities. HHCS does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability or any other classification in accordance with federal, state and local statutes, regulations and ordinances.

HHCS will maintain applications for as long as legally required. Upon application submission, every effort will be taken to review it for proper consideration. If qualifications meet the current needs of HHCS, our Human Resources Department will be in contact.

HHCS is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Applicants will be asked to read the policy and sign a Pre-Employment Offer and Employee Consent to Drug Screening.

Effective July 4, 2012, smoking and the use of tobacco products are not permitted on the HHCS campus or on any HHCS owned/leased properties, or in hospital owned/leased vehicles. This policy applies to all individuals working, visiting, or receiving medical care within the boundaries of the hospital property.

I understand that an investigative report may be made by a consumer reporting agency to include information as to my character, general reputation, personal characteristics, and mode of living, whichever may be applicable. If such an investigative report is made, I understand that I will receive notice that such a report has been requested, and that I will have the right to make a written request for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation.

I understand and agree that any employee handbook which I may receive will not constitute an employment contract, but will be merely a gratuitous statement of facility policies.

I understand and agree that if I am offered employment by the facility, my employment will be for no definite term and that either I, or the facility will have the right to terminate the employment relationship at any time, with or without cause, and with or without notice. I also understand that this status can only be altered by a written contract of employment which is specific as to all material terms and is signed by me and the administrator of the facility.

I understand that HHCS operates 24 hours a day, seven days a week, and that weekend work or temporary changes of shift may be required during employment.

I agree that I will settle any and all claims, disputes or controversies arising out of or relating to my application for employment, employment, or termination of employment with the employer exclusively by final and binding arbitration and before a neutral Arbitrator and in accordance with the rules and procedures for employment disputes adopted by the employer. Such claims shall include those that could be brought in a court of law under any applicable federal, state or local statutory or common law, such as the Age Discrimination in Employment Act, Title VII of the Civil Rights Act of 1964, as amended, including the amendments of the Civil Rights Act of 1991, the Americans with Disabilities Act, the Family and Medical Leave Act, state civil rights acts, the law of contract and the law of tort.

I certify the information contained in this application for employment is true to the best of my knowledge and belief. I understand that any omission of facts or misrepresentation is cause for denial of employment and/or dismissal (if hired) regardless of when discovered.

Release

I hereby authorize any prior employers to provide such information concerning my employment with them as may be requested, and also authorize the Registrar/Placement Office of all educational institutions attended to release an official copy of my transcript and, if available, faculty appraisals. I also authorize any appropriate licensing board to release full information concerning my licensure status and my licensure history.

I HAVE READ AND AGREE TO THE ABOVE AND HEREBY CERTIFY THAT THE FACTS I HAVE PROVIDED IN MY EMPLOYMENT APPLICATION ARE TRUE AND COMPLETE.